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AMH and FSH Question--thank you for your help!!

Hi!

I'm 41 and TTC.
I've had 3 pregnancies= 1 blighted ovum and 2 miscarriages at 12 weeks (after heartbeats and strong HCG levels).
I get pregnant very easily.
Genetic tests are all good.
Sperm is good and happy.

my levels:
FSH: 8.7
AMH: 2.1 / 14.97
Estradiol in luteal phase: 109

I had relatively low progesterone and am now on progesterone supplements.

So. My questions are:

1. Should I be able to conceive naturally and carry to term with these hormone levels?
2. What can I do to prevent a miscarriage in the future?
3. I am taking the progesterone starting my 15th cycle day. Should I continue to do this when I am pregnant
or should I take the progesterone all through the first trimester?

I live in France and my gynos have NOT been helpful. It was my husband who suggested I get hormone tests!

I am not sure that I can answer your questions specifically but AMH tests are to determine ovarian reserve (i.e. how many eggs you may have left). I am not sure about FSH aside from high FSH can mean diminished ovarian reserve too. Basically, your body will produce more and more FSH in order to force the ovaries to produce eggs at the relevant time in a cycle. If there is diminished ovarian reserve FSH will continue to increase. I had both tests which resulted in high FSH and low AMH meaning I had diminished ovarian reserve and that I may not respond well to the stimulaton meds.....which was accurate to be honest. However, now have a lovely BFP so am HAPPY HAPPY HAPPY!

Your FSH doesn't look too high but then I am not sure of the levels exactly...mine was 12.4. My AMH was 3.12 too which meant I had 'low fertility'. On the plus side I was only 29 when I these done so the thought was that if I could get pregnant then it would most likely be successful. I am not sure which AMH scales you refer to as I know there are two and I can't compare mine with yours without knowing we are using the same scales!

With regard to progesterone....my clinic prescribes it for after ET and then onwards for up to 12 weeks to support the pregnancy. I would go on what your clinic advises as each one has different ideas.

I am not sure what you can do to prevent miscarriage - as far as I know it happens mostly on its own and cannot really be helped (although the obvious no alcohol, no drugs etc applies). Have you thought about immune testing? Some of the UK specialist clinics can do tests which look into whether the body needs help to support a pregnancy or not.....I don't know a great deal about it and I wouldn't worry too much about it but it might be worth looking into?